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Acta médica Grupo Ángeles
Print version ISSN 1870-7203
Abstract
ARELLANO AGUILAR, Gregorio; MAGANA REYES, Jorge; GUTIERREZ VELAZCO, José Luis and DOMINGUEZ CARRILLO, Luis Gerardo. Sjögren syndrome. Review with an illustrative case report. Acta méd. Grupo Ángeles [online]. 2016, vol.14, n.2, pp.90-100. Epub Aug 30, 2021. ISSN 1870-7203.
Background:
Sjögren syndrome is a chronic, autoimmune, inflammatory diseases characterized by diminished lacrimal and salivary gland function, although the clinical manifestations of SS include both exocrine gland involvement and extraglandular disease features.
Clinical case:
A 37-year-old female with xerosis, xerophthalmia, xerostomia, vulvovaginal dryness, fatigue and mild sensory neuropathy since 8 months ago. Physical examination: bilateral parotid gland enlargement. She was hospitalized and presented positive Schirmer test, positive salivary scintigraphy, and magnetic resonance with features typical of Sjögren disease; laboratory showed IgG type 1, 19350.0 mg/L; antibodies: anti SSA/Ro, 179.66; AC SSB/La, 114.01, and antinuclear antibodies with speckled pattern reaction 1:5120. After diagnosis, hydroxychloroquine and treatments for dry eye and dry mouth were prescribed.
Conclusion:
A patient with primary Sjögren’s syndrome and mild extraglandular organ involvement, like sensory neuropathy, without important systemic repercussion.
Keywords : Sjögren syndrome; sicca syndrome.